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A Study to Evaluate Drug-Drug Interaction of TAK-788 With Itraconazole and Rifampin in Healthy Adult Participants

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ClinicalTrials.gov Identifier: NCT03928327
Recruitment Status : Completed
First Posted : April 26, 2019
Last Update Posted : August 26, 2019
Sponsor:
Information provided by (Responsible Party):
Takeda ( Millennium Pharmaceuticals, Inc. )

Brief Summary:
The purpose of this study is to characterize the effect of itraconazole (Part 1) and rifampin (Part 2) on the single-dose pharmacokinetics (PK) of TAK-788 and its active metabolites (AP32960 and AP32914) in healthy adult participants.

Condition or disease Intervention/treatment Phase
Healthy Volunteers Drug: TAK-788 Drug: Itraconazole Drug: Rifampin Phase 1

Detailed Description:

The drug being tested in this study is called TAK-788. The study will assess the drug-drug interaction of TAK-788 with either a strong cytochrome P-450 (CYP)3A inhibitor, itraconazole (Part 1) or with a strong CYP3A inducer, rifampin (Part 2) in healthy adult participants.

The study will enroll approximately 28 healthy participants. The study is designed to consist of 2 parts: Part 1- TAK-788 assessment with itraconazole Part 2- TAK-788 assessment with rifampin. Part 1 will have 2 cohorts:

Cohort 1: Participants will receive a single oral dose of 20 mg capsule of TAK-788 on Day 1 of Period 1 followed by 200 mg itraconazole oral solution once daily (QD) in Period 2 on Days 1 to Day 14 and a single oral dose of TAK-788 20 mg capsule will be coadmistered on Day 5 of Period 2.

Cohort 2: Participants will receive a single oral to be decided (TBD) dose of TAK-788 in Period 1 on Day 1 followed by 200 mg itraconazole oral solution QD in Period 2 on Days 1 to 14 and a single oral TBD dose of TAK-788 will be coadministered on Day 5 of Period 2.

In Part 2 participants will receive a single oral 4x40 mg (160 mg) dose of TAK-788 capsules in Period 1 of Day 1 followed by 2x300 mg (600 mg) capsules of rifampin QD in Period 2 Days 1 to Day 13 and a single dose of 4x40 mg (160 mg) TAK-788 capsules will be coadministered on Day 7 of Period 1. There will be a washout period of 7 days between the dose of TAK-788 on Period 1 and the first dose of rifampin in Period 2.

This single-center trial will be conducted in the United States. The overall time to participate in this study is approximately 120 days. Participants will be contacted by telephone 30 days after the last dose of study drug for a follow-up assessment.


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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 24 participants
Allocation: Non-Randomized
Intervention Model: Sequential Assignment
Masking: None (Open Label)
Primary Purpose: Other
Official Title: A Phase 1 Study of Oral TAK-788 to Evaluate the Drug-Drug Interaction With Itraconazole and Rifampin in Healthy Adult Subjects
Actual Study Start Date : May 2, 2019
Actual Primary Completion Date : August 16, 2019
Actual Study Completion Date : August 16, 2019

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Drug Reactions

Arm Intervention/treatment
Experimental: Part 1 (Cohort 1): TAK-788 20 mg + Itraconazole 200 mg
TAK-788 20 mg capsule, orally on Day 1 of Period 1 followed by itraconazole 200 mg solution, orally, once daily (QD) on Days 1 to Day 14 in Period 2 and a single oral dose of TAK-788 20 mg capsule will be coadministered on Day 5 of Period 2.
Drug: TAK-788
TAK-788 Capsules

Drug: Itraconazole
Itraconazole Oral solution

Experimental: Part 1 (Cohort 2): TAK-788 TBD + Itraconazole 200 mg
TAK-788 to be determined (TBD) dose capsule, orally on Day 1 of Period 1 followed by itraconazole 200 mg tablet, orally, QD, on Days 1 to 14 of Period 2 and a single oral TBD dose of TAK-788 will be coadministered on Day 5 of Period 2.
Drug: TAK-788
TAK-788 Capsules

Drug: Itraconazole
Itraconazole Oral solution

Experimental: Part 2: TAK-788 160 mg + Rifampin 600 mg
TAK-788 160 mg, as capsules, orally on Day 1 of Period 1 followed by rifampin 600 mg as capsules, orally, once daily (QD) on Days 1 to 13 in Period 2 and TAK-788 160 mg as capsules, orally will be coadministered on Day 7 of Period 1.
Drug: TAK-788
TAK-788 Capsules

Drug: Rifampin
Rifampin Capsules




Primary Outcome Measures :
  1. Cmax: Maximum Observed Plasma Concentration for TAK-788 [ Time Frame: Day 1 pre-dose at multiple time points (up to 168 hours) post-dose ]
  2. AUC∞: Area Under the Plasma Concentration-time Curve from Time 0 to Infinity, calculated using the observed value of the last quantifiable concentration for TAK-788 [ Time Frame: Day 1 pre-dose at multiple time points (up to 168 hours) post-dose ]
  3. AUClast: Area Under the Concentration-time Curve from Time 0 to the Time of the Last Quantifiable Concentration for TAK-788 [ Time Frame: Day 1 pre-dose at multiple time points (up to 168 hours) post-dose ]
  4. Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for TAK-788 [ Time Frame: Day 1 pre-dose at multiple time points (up to 168 hours) post-dose ]


Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 55 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Key Inclusion Criteria:

  1. Continuous non smoker who has not used nicotine containing products for at least 3 months prior to the first dose and throughout the study based on participant self-reporting.
  2. Medically healthy with no clinically significant medical history, physical examination, laboratory profiles, vital signs, or electrocardiograms (ECGs), as deemed by the Investigator or designee. Has liver function tests (LFTs) including alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), and total bilirubin within the upper limit of normal at screening and at first check-in.
  3. Normal baseline spirometry for forced vital capacity (FVC) and forced expiratory volume (FEV1)/FVC within 7 days prior to the first dosing based on the following normal FVC and FEV1/FVC range: a. 20 - 39 years of age: ≥ 80% and b. 40 - 55 years of age: ≥ 75%
  4. Body mass index (BMI) ≥18.0 and ≤32.0 kg/m^2, at screening.

Key Exclusion Criteria:

  1. History or presence of alcoholism or drug abuse within the past 2 years prior to the first dosing.
  2. History or presence of hypersensitivity or idiosyncratic reaction to the study drugs or related compounds.
  3. Presence of an acute lung infection, within 3 months of screening.
  4. History or presence of any previous lung disease.
  5. Part 1 only: History or presence of any of the following, deemed clinically significant by the PI or designee, and as confirmed by the Sponsor:

    • Ventricular dysfunction or risk factors for Torsades de Pointes (e.g., heart failure, cardiomyopathy, family history of Long QT Syndrome);
    • Uncorrected hypokalemia (potassium levels <3.7) and/or hypomagnesemia (magnesium levels <1.9);
    • Myasthenia gravis.
  6. Positive results at screening for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg) or hepatitis C virus (HCV).
  7. Seated blood pressure is less than 90/40 mmHg or greater than 140/90 mmHg at screening.
  8. Seated heart rate is lower than 40 bpm or higher than 99 bpm at screening.
  9. QTcF interval is >460 msec (males) or >470 msec (females) or ECG findings are deemed abnormal with clinical significance by the Investigator or designee at screening.
  10. Estimated creatinine clearance <90 mL/min at screening
  11. Unable to refrain from or anticipates the use of:

    • Any drug, including prescription and non-prescription medications, herbal remedies, or vitamin supplements within 14 days prior to the first dosing and throughout the study. Medication listed as part of acceptable birth control methods will be allowed. Thyroid hormone replacement medication may be permitted if the subject has been on the same stable dose for the immediate 3 months prior to the first dosing. Acetaminophen (up to 2 g per 24 hour period) may be permitted during the study, only after initial dosing.
    • Any drugs known to be inhibitors or inducers of CYP3A enzymes and/or P-gp, including St. John's Wort, within 28 days prior to the first dosing and throughout the study. Appropriate sources (e.g., Flockhart Table™) will be consulted to confirm lack of pharmacokinetic (PK)/pharmacodynamics interaction with study drugs.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03928327


Locations
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United States, Arizona
Celerion
Tempe, Arizona, United States, 85283
Sponsors and Collaborators
Millennium Pharmaceuticals, Inc.
Investigators
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Study Director: Medical Director Millennium Pharmaceuticals, Inc.

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Responsible Party: Millennium Pharmaceuticals, Inc.
ClinicalTrials.gov Identifier: NCT03928327     History of Changes
Other Study ID Numbers: TAK-788-1006
First Posted: April 26, 2019    Key Record Dates
Last Update Posted: August 26, 2019
Last Verified: August 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Yes
Plan Description: Takeda makes patient-level, de-identified data sets and associated documents available after applicable marketing approvals and commercial availability have been received, an opportunity for the primary publication of the research has been allowed, and other criteria have been met as set forth in Takeda's Data Sharing Policy (see www.TakedaClinicalTrials.com/Approach for details). To obtain access, researchers must submit a legitimate academic research proposal for adjudication by an independent review panel, who will review the scientific merit of the research and the requestor's qualifications and conflict of interest that can result in potential bias. Once approved, qualified researchers who sign a data sharing agreement are provided access to these data in a secure research environment.

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Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Takeda ( Millennium Pharmaceuticals, Inc. ):
Drug Therapy
Additional relevant MeSH terms:
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Itraconazole
Hydroxyitraconazole
Rifampin
Antifungal Agents
Anti-Infective Agents
14-alpha Demethylase Inhibitors
Cytochrome P-450 Enzyme Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Steroid Synthesis Inhibitors
Hormone Antagonists
Hormones, Hormone Substitutes, and Hormone Antagonists
Physiological Effects of Drugs
Cytochrome P-450 CYP3A Inhibitors
Antibiotics, Antitubercular
Antitubercular Agents
Anti-Bacterial Agents
Leprostatic Agents
Nucleic Acid Synthesis Inhibitors
Cytochrome P-450 CYP2B6 Inducers
Cytochrome P-450 Enzyme Inducers
Cytochrome P-450 CYP2C8 Inducers
Cytochrome P-450 CYP2C19 Inducers
Cytochrome P-450 CYP2C9 Inducers
Cytochrome P-450 CYP3A Inducers